Attica Long Term Care Facility

Inspectors wroteThe facility reported a census of 44 residents. The sample included five residents who were reviewed for abuse. Based on observation, interview, and record review, the facility failed to ensure residents remained free from resident-to-resident abuse. On 08/29/25 at approximately 01:10 PM, Resident (R)l, a cognitively impaired resident with a known history of aggression towards staff and other residents, approached her roommate, R2, in the common area, placed her hands around R2's neck, and began choking her. Staff heard the altercation, responded and intervened, though R1 continued to pull R2's hair while staff attempted to separate them. Staff separated the residents and assessed them. R1 had a small cut to her face and R2 had redness around her neck but no other visible injuries. The facility's failure to ensure residents remained free from abuse placed R2 in Immediate Jeopardy.

Inspectors wroteThe facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to provide care and services, which included supplemental nutrition and failed to follow the Registered Dietician (RD) recommendations to maintain acceptable parameters of nutritional status for Resident (R) 19. As a result of the facility failures, R19 had a significant unintended weight loss of 11.48 percent (%) over three months. This deficient practice also placed the resident at risk for malnutrition and further weight loss.

Inspectors wroteThe facility reported a census of 36 residents. The sample included 13 residents. Based on interviews, record reviews, and observation, the facility staff failed to implement adequate and acceptable infection control practices related to hand hygiene and laundry services. This deficient practice placed the residents at risk for infections.

Inspectors wroteR12's Electronic Medical Record (EMR) included the following diagnoses: post-traumatic stress disorder (PTSD- a mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress), anxiety (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear) and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). R12's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. He received antianxiety (a class of medications that calm and relax people) and an antidepressant (a class of medications used to treat mood disorders) during the assessment period. [...]

Inspectors wroteThe facility identified a census of 36 residents. The sample included 13 residents with two residents sampled for nutrition. Based on observation, interview, and record review, the facility failed to notify the physician of significant weight changes in Resident (R) 19 who had a significant weight. This deficient practice also had the potential to negatively affect the resident's physical well-being and nutritional status.

Inspectors wroteThe facility reported a census of 36 residents with 13 residents sampled, including two residents reviewed for activities of daily living (ADL). Based on observation, interview, and record review, the facility failed to provide nail care for Resident (R)23 which placed the resident at risk for skin issues.

Inspectors wroteThe facility reported a census of 36 residents with 13 residents sampled, including two residents reviewed for activities. Based on observation, interview, and record review the facility failed to implement an ongoing, resident-centered activity program for Resident (R)12, to meet his interests and preferences. This placed the resident at risk of boredom and isolation.

Inspectors wrote- R23's Electronic Medical Record (EMR) included the following diagnoses: dementia (a progressive mental disorder characterized by failing memory and confusion) and weakness (lacking strength). R23's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on staff for wheelchair mobility. Review of the Functional Abilities Care Area Assessment (CAA), dated 08/19/24, documented the resident required staff assistance with all activities of daily living (ADL). R23's Quarterly MDS, dated 03/17/25, documented the staff assessment for cognition revealed moderately impaired cognition. She was dependent on staff for wheelchair mobility. R23's Care Plan, revised 03/25/25, instructed staff the resident was dependent on staff for wheelchair mobility. [...]

Inspectors wroteThe facility reported a census of 36 residents. The sample included 13 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area. This deficient practice created the risk of an unsanitary environment.

Inspectors wroteThe facility census totaled 37 residents with 12 included in the sample. Based on observation, interview, and record review the facility failed to develop a comprehensive assessment Resident (R) 20 when they failed to include oxygen services (O2) and hospice services on the Quarterly Minimum Data Set (MDS) dated [DATE].

Inspectors wroteThe facility had a census of 37 residents, with 12 residents included in the sample. Based on observation, interview, and record review, the facility failed to develop a comprehensive care plan for three Residents (R)13, R20, and R27, regarding the use of a nebulizer (a device that delivers medication as a mist to the lungs) and oxygen (a treatment that provides extra to breath in).

Inspectors wroteThe facility reported a census of 37 with 12 residents included in the sample. Based on observations, interview and record review the facility failed to provide activities of daily living (ADL) for resident (R)5 regarding nail care.

Inspectors wroteThe facility had a census of 37 residents, with 12 residents included in the sample, that included three residents reviewed for respiratory care. Based on observation, interview, and record review, the facility failed to provide necessary respiratory care consistent with professional standards of practice regarding the use of a nebulizer (a device that delivers medication as a mist to the lungs) and oxygen (a treatment that provides extra to breath in) for Resident (R)13, R20, and R27.

Inspectors wroteThe facility reported a census of 37 residents with 12 residents included in the sample and five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the consultant pharmacist identified the range or parameters for blood pressure for Resident (R) 8.

Inspectors wroteThe facility reported a census of 37 residents with 12 residents included in the sample and five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the efficacy of blood pressure medication for Resident (R) 8, when facility staff did not notify the physician of blood pressure readings out of the professional standards for normal blood pressure range.

Inspectors wroteThe facility census totaled 37 residents with 12 residents included in the sample. Based on observation, interview, and record review the facility failed to provide a sanitary environment by the failure to keep R20's oxygen cannula in a clean bag and off the floor and clean the nebulizer equipment between uses for R20, R27, and R13.

Inspectors wroteThe facility census totaled 40 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure the pharmacist identified and reported the use of as needed (PRN) Lorazepam (psychotropic antianxiety medication) longer than 14 days without a renewed physician order or rationale by the physician for the continued administration of the psychotropic medication on a PRN basis for Resident (R)38.

Inspectors wroteThe facility census totaled 40 residents with five residents reviewed for unnecessary medications. Based on observation, interview, and record review the facility failed to ensure one of five residents did not received unnecessary medications when the facility administered Resident (R)38's as needed (PRN) Lorazepam (psychotropic antianxiety medication) longer than 14 days, without a renewed physician order or rationale by the physician for the continued administration of the psychotropic medication on a PRN basis.